IndividualActive
Avanleigh Montgomery, PTA
NPI 1033840350 · Physical Therapy Assistant · Wasilla, AK
Provider details
- NPI number
- 1033840350
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 60975822 (WA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
613 S Knik Goose Bay Rd Ste E
Wasilla, AK 99654-8090
Phone: (907) 317-5895
Approximate (ZIP-level) locationGet directions
Mailing address
5215 46th Street Ct W
University Place, WA 98466-6658
Registry dates
- Enumerated
- 2022-06-17
- Last updated
- 2022-06-17
- Certified
- 2022-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.